Shanghai chest最新文献_第7页

Second surgery for complications of major pulmonary resection: the knack of air plombage in thoracoplasty 肺大切除术并发症的二次手术：空气包埋术在胸廓成形术中的技巧

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-23

M. Kamiyoshihara, H. Igai, Tomohiro Yazawa

引用次数: 0

The role of haptic feedback in video-assisted thoracic surgery simulation training 触觉反馈在视频辅助胸外科模拟训练中的作用

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-18

A. Imperatori, Sarah Grossi, Maria Cattoni, N. Rotolo

引用次数: 0

One-size does not fit all: the challenges of surgical management in stage IV non-small cell lung cancer 不能一刀切：IV期非小细胞肺癌癌症手术治疗的挑战

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-54

Nathan J. Alcasid, J. Velotta

引用次数: 0

Exploring the timing and distribution effects of direct cardiac compression in a beating heart model 在心脏跳动模型中探讨直接心脏压迫的时间和分布效应

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-24

E. Aranda-Michel, L. Waldman, D. Trumble

引用次数: 1

Lung cancer resection in high-risk patients: a narrative review 高危患者肺癌切除:一项叙述性回顾

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-16

Akshay J. Patel, E. Bishay, B. Naidu

{"title":"Lung cancer resection in high-risk patients: a narrative review","authors":"Akshay J. Patel, E. Bishay, B. Naidu","doi":"10.21037/shc-22-16","DOIUrl":"https://doi.org/10.21037/shc-22-16","url":null,"abstract":"\"Background and Objective: The National Lung Cancer Audit (NLCA) 2022 report showed that for England in 2019, the curative treatment rates of non-small cell lung cancer (NSCLC) patients with stage I/II disease and good performance status were 81%, this metric fell to 73% in 2020 with resection rates falling from 20% to 15%. The impact of COVID-19 could well have influenced this and indeed lung cancer patients diagnosed in 2020 were more likely to have a worse performance status, diagnosed as emergency presentations and less likely to have a pathological diagnosis. Assessing risk in the current era and defining which patients are high-risk needs formal exploration and definition if we are to improve resection rates in a safe and equitable manner. Methods: We conducted a narrative literature review to explore the paradigm of risk in thoracic surgery and in particular address the concept of what is considered to be \"\"high risk\"\"for surgery. We searched MEDLINE, EMBASE and Cochrane Library databases using the OVID interface. We reviewed articles between January 1, 2000, and December 31, 2021 and restricted this to full text papers only in the English language. Conference s were not considered. Key Content and Findings: A delineation must be made between the assessment of risk for an individual patient (usually peri-operative complication and death) and the assessment of risk for an entire cohort, i.e., determining safety, efficacy, and feasibility of an intervention for a particular group. Both components are necessary when communicating risk. There is no fixed model of the high-risk patient, but instead an individualised risk profile which should serve to employ pre-operative optimisation strategies, pulmonary rehabilitation, smoking cessation programmes, exercise rehabilitation and post-operative rehabilitation. Conclusions: By understanding risk and benchmarking patients appropriately and in a uniform way, one can be more objective and scientific in assessing suitability for resection. This is but one pillar of a multifaceted approach to help inform patients and healthcare providers in a constructive way and increase surgical rates in an appropriate and safe way. © Shanghai Chest. All rights reserved.\"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42240668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Selection of the population in lung cancer screening studies: a narrative review 癌症筛查研究人群的选择：叙述性综述

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-33

L. Pilz

引用次数: 0

Uniportal video-assisted thoracoscopic surgery right upper lobectomy by bronchus-artery-vein procedure: a case report 单门电视胸腔镜支气管动静脉右上叶切除术1例

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-19

Tianxiang Chen, Hang Zhao, Junwei Ning, Xiaocheng Zhang, Q. Luo

引用次数: 0

Lung volume reduction surgery—a narrative review of clinical evidence, patient selection and peri-operative care 肺减容手术——临床证据、患者选择和围手术期护理的叙述性综述

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-24

T. Hayes, M. Charlesworth

引用次数: 0

Spontaneous resolution of metastatic thymoma with prednisone in a patient with juvenile myasthenia gravis: a case report 原发性重症肌无力患者转移性胸腺瘤经强的松治疗后自发性消退1例

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-15

N. Ramesh, J. Velotta

{"title":"Spontaneous resolution of metastatic thymoma with prednisone in a patient with juvenile myasthenia gravis: a case report","authors":"N. Ramesh, J. Velotta","doi":"10.21037/shc-22-15","DOIUrl":"https://doi.org/10.21037/shc-22-15","url":null,"abstract":"Background: Juvenile myasthenia gravis is a rare autoimmune condition affecting children. Similar to myasthenia in adults, juvenile myasthenia gravis is associated with thymomas and many of these patients undergo thymectomy. However, there is no clear consensus on which patients could benefit from surgical intervention and how to manage refractory disease. Case Description: In this report, we describe a young boy who was diagnosed with myasthenia gravis and found to have stage IVa type B2 metastatic thymoma. Despite numerous pharmaceutical interventions, including neoadjuvant chemotherapy, his disease continued to progress. He ultimately underwent an extended radical parietal and visceral pleurectomy with decortication, total thymectomy, partial pericardial resection, and diaphragm resection and reconstruction. However, he had recurrence of his thymoma and was started on prednisone for palliative intent. Remarkably, within a few months he was noted to have interval decrease in his thoracic tumor burden and near resolution of his metastatic disease. Conclusions: Although spontaneous remission has been described in pediatric myasthenia, this report sheds light on possible management strategies post-thymectomy. This case additionally underscores the varied outcomes in patients treated for juvenile myasthenia gravis. Ultimately, this case, when added to both existing and future studies, will inform the development of guidelines on pediatric myasthenia gravis treatment. been well characterized. In this report, we describe a rare case of severe JMG and metastatic thymoma that responded to steroid therapy, highlighting the potential role of corticosteroids for JMG and thymoma refractory to thymectomy. We present the following case in accordance with the CARE reporting checklist (available at https://shc.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46964744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of blind-end subglottic stenosis following SARS-CoV-2 infection: a case report SARS-CoV-2感染后盲端声门下狭窄的治疗1例

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-23

E. Chan, E. Hyzny, Masashi Furukawa, J. Luketich, P. Sanchez

{"title":"Management of blind-end subglottic stenosis following SARS-CoV-2 infection: a case report","authors":"E. Chan, E. Hyzny, Masashi Furukawa, J. Luketich, P. Sanchez","doi":"10.21037/shc-21-23","DOIUrl":"https://doi.org/10.21037/shc-21-23","url":null,"abstract":"Background: Reports identify rates of prolonged intubation as high as 28% in patients who are hospitalized for worsening respiratory status due the SARS-CoV-2 infection. This has placed a toll on healthcare systems around the world. However, we believe we are only seeing the beginnings of complications associated with the COVID-19 pandemic. Subglottic tracheal stenosis is a known complication of prolonged intubation and may therefore be on the rise in the wake of the current pandemic. The European Laryngology Society created the Laryngotracheal Stenosis Committee to alert the international medical community of the rise in airway complications associated with long-Term intubation and high rates of tracheostomy seen in the recent months during the pandemic. Optimal surgical management of the unique features of subglottic stenosis following COVID-19 disease, especially in severely deconditioned patients, has yet to be reported. Case Description: We report the surgical management of blind-end Myer-Cotton Grade IV subglottic stenoses in two patients who required prolonged mechanical ventilatory support for respiratory failure resulting from the SARS-CoV-2 infection with a two stage minimally invasive recanalization strategy. Patients underwent two-step minimally invasive process for recanalization. The first step is to re-establish a patent tracheal lumen under direct visualization utilizing both a rigid bronchoscope from proximally as well as a flexible bronchoscope distal to the stenosis from the tracheostomy stoma. Once the tracheal lumen is re-established, proper dilation of the airway and hemostasis is achieved in standard fashion. Both patients have had roughly 6 months of follow-up and have tolerated their silicone T-Tubes capped at all times. Neither patient currently require any oxygen supplementation and continue to phonate well. While they are not at their baseline in terms of physical activity, they are continuing their rehabilitation process. Conclusions: While the definitive treatment continues to be surgical resection, the endoscopic approach to re-establishing the tracheal lumen is a safe and effective method with little to no morbidity and mortality. This will allow for uninhibited rehabilitation following prolonged mechanical ventilatory support and hospital stay following severe COVID-19 infection. © 2022 Audiology and Speech Research. All rights reserved.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44668708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0